| NPI | 1477204113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 013559) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X013559-01) |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2024-10-18 |