| NPI | 1376319103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC012005) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH DC-05303) |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2025-04-28 |