| NPI | 1619925005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NH 841-0409) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X010941-1) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2013-04-25 |