| NPI | 1538766399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC011577) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00771800) |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-08 |