| NPI | 1215399225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 2976) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL ch5013) |
| 111N00000X Chiropractor (Licence: NY x4135) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |