| NPI | 1467601724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC010963) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 2165) |
| 111N00000X Chiropractor (Licence: PA AJ010735) | |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2014-12-03 |