| NPI | 1679152680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 2726) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH DC-05057) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2025-07-09 |