| NPI | 1669494407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC 009466) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 3194) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2010-06-29 |