| NPI | 1265651939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC-006569-L) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH0006414) |
| 111N00000X Chiropractor (Licence: WI 2644) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2019-12-19 |