| NPI | 1073629267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 4452-1) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: NY 4452-1) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2010-08-04 |