| NPI | 1376947630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 075615) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 4460) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-12-30 |