| NPI | 1700211240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NR0200X Chiropractor, Radiology (Licence: NY 70011700) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 70011700) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |