| NPI | 1871538157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 2399) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 7562) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2012-05-10 |