| NPI | 1093760100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 2027) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC008831) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2012-08-30 |