| NPI | 1275607756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X009721-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X009721-NY) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2009-01-27 |