| NPI | 1164666756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY x010054) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38mc00605100) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2014-11-12 |