| NPI | 1467549881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 3814) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2006030073) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2010-06-30 |