| NPI | 1396821658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X002812-1) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 001000-1) |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2012-10-05 |