| NPI | 1336817584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X013501) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 013501) |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2022-09-29 |