| NPI | 1134334931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00661900) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X011374-2) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2011-06-08 |