| NPI | 1912984204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S01718) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WV 623) |
| 111N00000X Chiropractor (Licence: PA DC 005770L) | |
| 111N00000X Chiropractor (Licence: DE F1-0000778) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2022-06-29 |