| NPI | 1275850232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 011977) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA dc010179) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2012-05-22 |