| NPI | 1780916122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556868) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC010498) |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2017-03-14 |