| NPI | 1568618833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 001762) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 011559) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |