| NPI | 1669627717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 3978) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC010000) |
| 225100000X Physical Therapist (Licence: PA AJ009813) | |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2023-06-14 |