| 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 |