| NPI | 1639568801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 1834) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OH 155) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2021-03-17 |