| NPI | 1821050030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA AJ009579) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104556384) |
| 111N00000X Chiropractor (Licence: PA DC009774) | |
| 111N00000X Chiropractor (Licence: WI 4357) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2009-03-02 |