| NPI | 1063569424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC009421) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: DE F10000964) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2019-05-28 |