| NPI | 1104217710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X012516-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NH 962) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2019-01-10 |