| NPI | 1548446156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 269706) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X011369) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2021-10-18 |