| NPI | 1003137977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 4025) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC010260) |
| 111N00000X Chiropractor (Licence: PA AJ010061) | |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-06-15 |