| NPI | 1497967624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 01802) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CT 001119) |
| 111N00000X Chiropractor (Licence: NY X007635-1) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-11-14 |