| NPI | 1518055888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X006298) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 003770-1) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2024-01-12 |