| NPI | 1124121397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00709400) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X007943) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2014-06-24 |