| NPI | 1205975273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ MC04560) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X007537) |
| 111N00000X Chiropractor (Licence: PA DC-005574-L) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |