| NPI | 1790922342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC004835L) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA AK000652) |
| Enumeration Date | 2009-01-18 |
| Last Update Date | 2009-01-18 |