| NPI | 1023211786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00706300) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CT 001607) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2013-05-06 |