| NPI | 1659335248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC-006355-L) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 2679) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2021-01-11 |