| NPI | 1144425968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH14259) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC011727) |
| 174400000X Specialist (Licence: PA MSG004825) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2023-04-25 |