| NPI | 1184990483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 012252-x) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 4243) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2016-07-22 |