| NPI | 1689937070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X012102) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: NY X012102) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |