| 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 |