| NPI | 1659756195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NH 1035) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 012708) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2019-03-21 |