| NPI | 1528449659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC011030) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA AJ010802) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2016-07-12 |