| NPI | 1780646752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC002883L) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 3860) |
| 111N00000X Chiropractor (Licence: MT 972) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2007-07-08 |