| NPI | 1043540081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA 9978) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 3927) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2011-12-02 |