| NPI | 1760532873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC-006238) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X011255) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2008-05-23 |