| NPI | 1962641068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC011380) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 012203) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2020-03-17 |