| NPI | 1013334374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X012493-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC010844) |
| 111N00000X Chiropractor (Licence: NY 012493) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2021-09-02 |