| NPI | 1982367868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 14688) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC011688) |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2025-06-16 |