| NPI | 1093910747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PR 438) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC009911) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2012-11-05 |