| NPI | 1992034094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X011669) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CT 001791) |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2009-12-18 |