| NPI | 1134127731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 001363) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY x009471-1) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2011-04-18 |