| NPI | 1306017546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 3878) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 10795) |
| Enumeration Date | 2008-03-16 |
| Last Update Date | 2008-03-16 |