| NPI | 1013590884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 013469) |
| Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: NY 013469) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2026-08-04 |