| NPI | 1821641283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC011693) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.013390) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2022-07-23 |