| NPI | 1922069699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: NY X012138-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 4498) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-10-21 |