| NPI | 1881750099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 2734) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 3178) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2015-12-14 |