| NPI | 1528282308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC008974) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00613300) |
| 111N00000X Chiropractor (Licence: DE F10000568) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2011-10-13 |