| NPI | 1912972696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8050) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC009240) |
| 111NR0400X Chiropractor, Rehabilitation (Licence: AZ 4707) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2011-08-03 |