| NPI | 1962641860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X004881) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 327829-1) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2020-12-21 |