| NPI | 1043632847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X012586) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR009101) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2015-04-20 |