| NPI | 1710953625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 0007746) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY XOO5226-1) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2019-09-09 |