| NPI | 1184962433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 012207) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CT 002136) |
| 111N00000X Chiropractor (Licence: NY 70012207) | |
| 111NN1001X Chiropractor, Nutrition (Licence: NY 70012207) | |
| 111NR0400X (Licence: NY 70012207) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: NY 70012207) | |
| 111NX0800X Chiropractor, Orthopedic (Licence: NY 70012207) | |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2021-01-27 |