| NPI | 1427177294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 011866) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 950) |
| 225X00000X Occupational Therapist (Licence: NY 014628) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2021-07-26 |