| NPI | 1679071831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: NY 013063) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 013063) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2023-01-11 |