| NPI | 1407244239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH DC-04951) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IA 05099) |
| Enumeration Date | 2015-01-01 |
| Last Update Date | 2023-09-06 |