| 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 |