| NPI | 1063570893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00566900) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ MC05669) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2026-07-28 |