| NPI | 1740529239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC011315) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 4340) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2019-01-16 |