| NPI | 1629228838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X010837) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: NY X010837) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |