| NPI | 1770028482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 4680) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH DC-04680) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2020-10-19 |