| NPI | 1770895104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 011910) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 015671-1) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2011-01-24 |