| NPI | 1932167525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC009685) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 2943) |
| 111N00000X Chiropractor (Licence: NM 1730) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2014-05-22 |