| NPI | 1245616713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC011065) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 012706) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-09-25 |