| NPI | 1447264585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X005811) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 003531) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-08-20 |