| NPI | 1013208289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X00876-1) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 001124-1) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-04-22 |