| NPI | 1205082021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X008273-1) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2018-04-13 |