| NPI | 1457787848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY x012438) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC010747) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2018-12-07 |