| NPI | 1700386562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 04988) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH12411) |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2020-11-16 |