| NPI | 1255657573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3743) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC010262) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2012-05-31 |