| NPI | 1043940869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 013599) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC011945) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2025-03-25 |