| NPI | 1629046032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC008808) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AC000968) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2015-10-28 |