| NPI | 1073885109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH11019) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00696400) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2024-05-22 |