| NPI | 1659673267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10189) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC01336) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2016-08-03 |