| NPI | 1952526154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 001498) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X010399-1) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2011-11-03 |