| NPI | 1841484698 |
|---|---|
| Former Name | AMANDA ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 3617) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 3931) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2018-02-12 |