| NPI | 1790596260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH DC-05425) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: OH L-323203) |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2026-07-10 |