| NPI | 1104896216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38mc00631100) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00173100) |
| 111N00000X Chiropractor (Licence: PA DC009262) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2024-08-08 |