| NPI | 1114334133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00729300) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: NJ 38MC00729300) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2024-09-26 |