| NPI | 1235123878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3633) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC002302) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2015-08-10 |