| NPI | 1336289701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 001679) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X011386) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2009-09-29 |