| NPI | 1912278730 |
|---|---|
| Former Name | LARISSA MARIE CAMPITELLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 4404) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2012002407) |
| 111N00000X Chiropractor (Licence: TN 2595) | |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2013-10-22 |