| 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 |