| NPI | 1922315134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 003839) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NM 1017) |
| 111N00000X Chiropractor (Licence: CA 15750) | |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |