| NPI | 1538113410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 10695) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC009353) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2012-08-28 |