| NPI | 1457338279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC009759) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: UT 5961453-1202) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2008-05-19 |