| NPI | 1225224298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00676800) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC010070) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2020-08-28 |