NPI | 1467025569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 02203) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CT 807) |
111N00000X Chiropractor (Licence: NY 013926) | |
171100000X Acupuncturist (Licence: NY 007684) | |
Enumeration Date | 2021-07-19 |
Last Update Date | 2025-10-01 |