| NPI | 1023388667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 012304) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 31837) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2014-05-01 |