| NPI | 1043335698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X0063311) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00400700) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |