| NPI | 1376606319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 6818-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 68181) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2014-10-07 |