| NPI | 1174161145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 107607) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00761600) |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2022-11-08 |