| NPI | 1750579538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: NY X009246) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X009246) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2011-12-12 |