| NPI | 1003801531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC004329-L) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC004329L) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2012-03-22 |