| NPI | 1497114110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 04853) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 4626) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2019-01-25 |