NPI | 1013295385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00710000) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 011991) |
Enumeration Date | 2011-08-03 |
Last Update Date | 2025-01-13 |