| NPI | 1811392806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH DC04573) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC010949) |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2019-02-13 |