| NPI | 1558853739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X013026-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC011318) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |