| NPI | 1770681215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: NY X006994-1) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: PA DC-004987-L) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |