| NPI | 1326369836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X012013-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 012013) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2022-06-11 |