| NPI | 1578653382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 4196) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 7740) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-11-19 |