| NPI | 1578315263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 125669) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC011739) |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-04-04 |