| NPI | 1578558565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC009121) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA AJ008956) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2014-12-18 |