| NPI | 1598730400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X0030201) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X30201) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2008-04-03 |