| NPI | 1679006332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 13065) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 8625) |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2018-07-17 |