| 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 |