| NPI | 1619279510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA CH010715) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH9612) |
| Enumeration Date | 2010-11-28 |
| Last Update Date | 2023-03-09 |