| NPI | 1316901804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: DE F10000198) |
| Additional Taxonomies | 111NX0800X Chiropractor, Orthopedic (Licence: PA DC003015L) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2013-08-08 |