| NPI | 1194796524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH14518) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00678200) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2023-12-22 |