| NPI | 1144344938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: CT 001003) |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation (Licence: NY X006928) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |