| NPI | 1568550473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA 009795) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA 000924) |
| 111N00000X Chiropractor (Licence: NY X011398) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2008-03-18 |