| NPI | 1487079091 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002797A) | 
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 4422) | 
| Enumeration Date | 2014-02-19 | 
| Last Update Date | 2024-05-07 |