| NPI | 1982786828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X004651) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X0046511) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2024-12-05 |