| NPI | 1124425384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 3705) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC010898) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2023-01-03 |