| NPI | 1477184760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X013590-01) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CT 2181) |
| 171100000X Acupuncturist (Licence: NY 007600-01) | |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2024-10-02 |