| NPI | 1164792784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: DE F1-0000873) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC010547) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2017-04-20 |