| NPI | 1649215021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002260A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 3699) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2010-12-03 |