| NPI | 1114015591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X00581301) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA ch1499) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-10 |