| NPI | 1528114048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 3849) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 5033) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2015-04-10 |