| NPI | 1174693535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X0048101) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MD 01583) |
| 133N00000X Nutritionist (Licence: NY 0047411) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |