| NPI | 1669848750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 70 012702) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 006634) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2019-11-19 |