| NPI | 1568646792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PR 447) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X011494) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2023-05-31 |