NPI | 1235436718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38mc00696800) |
Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: NJ 38MC00696800) |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NJ 38MC00696800) | |
Enumeration Date | 2011-02-18 |
Last Update Date | 2024-05-09 |