| NPI | 1164472999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 008230) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 423551) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |