NPI | 1124360383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC010625) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: PA AJ010418) |
111N00000X Chiropractor (Licence: NJ 38MC00704700) | |
Enumeration Date | 2013-03-25 |
Last Update Date | 2024-11-26 |