| NPI | 1851793715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X012565-1) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 005577-1) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2020-04-17 |