| NPI | 1427080563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 018994-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X007538-1) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2024-04-18 |