| NPI | 1427278068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 27 2674) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY XOO6262) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |