| NPI | 1942498605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WV 897) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 3743) |
| 111N00000X Chiropractor (Licence: OH 4164) | |
| 111N00000X Chiropractor (Licence: KY 249484) | |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2021-07-15 |