| NPI | 1538211636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC-001169-L) |
| Additional Taxonomies | 111NT0100X Chiropractor Thermography (Licence: PA 001169L) |
| 111NX0800X Chiropractor Orthopedic (Licence: PA 001169L) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2015-04-17 |