| NPI | 1295044139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 011929) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038011755) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2014-12-11 |