NPI | 1225136450 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X004664) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 001043-1) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2011-11-14 |