| NPI | 1356763189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC010812) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 012523) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-05-14 |