| NPI | 1043471550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: DE F1-0000748) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC010031) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2012-07-24 |