| NPI | 1457691768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC010704) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 5124) |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2014-02-21 |