| NPI | 1457663130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY x011886) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2019-11-24 |