| NPI | 1700341997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X013394) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CT 002138) |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2020-11-19 |