| NPI | 1689255614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC011662) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 5640-12) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-08-31 |