NPI | 1770680118 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NY NYXoo9434) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 347069) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2022-02-25 |