| NPI | 1144563362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 70012314) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00707600) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2019-05-15 |