| NPI | 1902879059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC004207L) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH 6143) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2007-07-08 |