| NPI | 1104962539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC005340L) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WV 600) |
| 111N00000X Chiropractor (Licence: AK 442) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-08-21 |