NPI | 1124322615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00228600) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 3389) |
Enumeration Date | 2010-12-27 |
Last Update Date | 2013-01-31 |