| NPI | 1154956985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 013572) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00772600) |
| 171100000X Acupuncturist (Licence: NY 007071) | |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2023-08-09 |