| NPI | 1568957355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X013159) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 006264) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-11-01 |