| NPI | 1033655295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 001985) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 012818) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |