| NPI | 1013136993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 001583) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X010909) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2012-12-07 |