| NPI | 1255663456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 4140) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X011959) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2020-11-21 |