| NPI | 1487989943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 70011767) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 27018760) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2011-09-29 |