| NPI | 1194840488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X006961) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: NY X-006961) |
| 111NS0005X Chiropractor, Sports Physician (Licence: NY X-006961) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2018-05-16 |