| NPI | 1962687400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: NY 5229) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: MA 1123) |
| 111NN0400X Chiropractor, Neurology (Licence: FL 5392) | |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |