| NPI | 1275535791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 4400) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC25668) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2013-09-23 |