| NPI | 1629113212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 1709) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X011319) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2024-05-07 |