| NPI | 1659666220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC002910L) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN001671) |
| Enumeration Date | 2011-06-12 |
| Last Update Date | 2011-10-04 |