| NPI | 1447597257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X012399-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC010765) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2022-11-02 |