| NPI | 1467862482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S03785) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC010668) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2017-01-12 |