| NPI | 1639299191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 006651) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 8965) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-09 |