| NPI | 1962755397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC010485) |
| Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: PA DC010485) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2012-10-23 |