| NPI | 1609653245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC011836) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00799500) |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2023-10-03 |