| NPI | 1376053082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X012739-1) |
| Additional Taxonomies | 111NI0013X Chiropractor Independent Medical Examiner (Licence: NY X0121739-1) |
| Enumeration Date | 2017-10-08 |
| Last Update Date | 2019-05-30 |