| NPI | 1871909853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 012657) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08002774A) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2015-07-17 |