| NPI | 1679587315 |
|---|---|
| Former Name | PENNY ANNE MARICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA 1478) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 4416) |
| 111N00000X Chiropractor (Licence: OK 2069) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |