| NPI | 1255439279 |
|---|---|
| Former Name | CORISSA LEE ANGIULLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC009683) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC-009683) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2010-03-03 |