| NPI | 1225358203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY x012179-1) |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: NY x012179-1) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2012-08-14 |