| NPI | 1417096561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC009169) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: PA DC009169) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |