| NPI | 1316493315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC011189) |
| Additional Taxonomies | 111NR0400X (Licence: PA AJ010948) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |