| NPI | 1144414202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X007466) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH6827) |
| 111N00000X Chiropractor (Licence: PA DC005739L) | |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2007-08-31 |