| NPI | 1952707143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC010055) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X011604-1) |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2014-11-14 |