| NPI | 1922747591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC011852) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 15198) |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2023-08-21 |