| NPI | 1063140861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC011943) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VT 006.0134175) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2024-10-22 |