| NPI | 1407278690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC011061) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA AJ010830) |
| 111N00000X Chiropractor (Licence: VA 0104557134) | |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2015-08-27 |