| NPI | 1689790180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 000888) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 3992) |
| 111N00000X Chiropractor (Licence: NY X006283) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |