| NPI | 1972809770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: OR 5555) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 4155) |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: NH 884) | |
| 111N00000X Chiropractor (Licence: NH 884) | |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2015-08-09 |