| NPI | 1538857974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X013856-01) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 35167) |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2025-04-29 |