| NPI | 1992325559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 302904) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH DC-04964) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2025-12-03 |