| NPI | 1275987547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X012829-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038013246) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2019-03-03 |