| NPI | 1164542874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: NY X010306-1) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: NY X010306-1) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |