| NPI | 1376098129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC011180) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH60663950) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2019-03-27 |