| NPI | 1417992512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X0035711) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X0038381) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2007-07-08 |