| NPI | 1871537522 |
|---|---|
| Former Name | HEATHER MARIE WILT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC009327) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA AJ009136) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-01-21 |