| NPI | 1487735189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: DE F10000671) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00659100) |
| 111N00000X Chiropractor (Licence: PA AJ009601) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-05-16 |