| NPI | 1063733624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR010751) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00683300) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2022-03-25 |