| NPI | 1497222145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 12637) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH dc-05292) |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2023-12-07 |