| NPI | 1184942807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WV 919) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC010275) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2014-02-10 |