| NPI | 1043266778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: DE FI0000299) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC004415L) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-07-08 |