| NPI | 1629087283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC004059-L) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC-004059-L) |
| 111N00000X Chiropractor (Licence: NH 665-0902) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2023-06-05 |