| NPI | 1043631443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NR0200X Chiropractor, Radiology (Licence: NY x011846) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY x011846) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2014-01-02 |