| NPI | 1477043479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X013071-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VT 006.0134136) |
| 111N00000X Chiropractor (Licence: MA 3638) | |
| 171100000X Acupuncturist (Licence: VT 091.0134022) | |
| 171100000X Acupuncturist (Licence: NY 006251-1) | |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2019-10-22 |