| NPI | 1629467766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 012990) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH11391) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2020-06-10 |