NPI | 1003119397 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC 010744) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC 30986) |
Enumeration Date | 2010-12-08 |
Last Update Date | 2014-05-07 |