| NPI | 1669527321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2009030179) |
| Additional Taxonomies | 111NI0900X Chiropractor Internist (Licence: OH DC.3754) |
| 111NN0400X Chiropractor Neurology (Licence: OH DC.3754) | |
| 111NN1001X Chiropractor Nutrition (Licence: OH DC.3754) | |
| 111NR0200X Chiropractor Radiology (Licence: OH DC.3754) | |
| 111NR0400X Chiropractor Rehabilitation (Licence: OH DC.3754) | |
| 111NS0005X Chiropractor Sports Physician (Licence: OH DC.3754) | |
| 111NX0100X Chiropractor Occupational Health (Licence: OH DC.3754) | |
| 111NX0800X Chiropractor Orthopedic (Licence: OH DC.3754) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2009-12-08 |