| NPI | 1083681399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 3246) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC009228) |
| Enumeration Date | 2006-03-06 |
| Last Update Date | 2007-07-19 |