| NPI | 1518178045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC008892) |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation (Licence: MA 2734) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2013-02-01 |