NPI | 1962776757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC010534) |
Additional Taxonomies | 111NR0400X (Licence: PA AJ010326) |
Enumeration Date | 2012-02-27 |
Last Update Date | 2022-06-20 |