| NPI | 1124191036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X004943) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL 5722) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2011-11-29 |