| NPI | 1972533420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 70009158) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC29701) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2013-06-05 |