| NPI | 1174840334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00687600) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY x011855) |
| 111N00000X Chiropractor (Licence: PA DC010333) | |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2015-12-09 |