| NPI | 1245583004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X012397-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 70 012397) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2014-06-04 |