| NPI | 1366677981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X0117861) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F354545-01) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2024-07-01 |