| NPI | 1235177429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X011118-1) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: FL Ch14398) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2024-04-02 |