| NPI | 1659967347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X013576-01) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CT 002208) |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2024-03-12 |