| NPI | 1952891236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08003026A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 4402) |
| Enumeration Date | 2018-05-13 |
| Last Update Date | 2018-05-13 |