| NPI | 1104087923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: DE F1-0000871) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC010052) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2014-07-22 |