| NPI | 1871617878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: FL CH8545) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 10006) |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2014-09-22 |