| NPI | 1225543366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00535000) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 70009113) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |