| NPI | 1043670367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00733900) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00118900) |
| 111N00000X Chiropractor (Licence: NY 012834) | |
| 171100000X Acupuncturist (Licence: NY 005784) | |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-07-15 |