| NPI | 1790751477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 005955) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 011170) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2007-07-08 |