| NPI | 1245718931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 9266) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00751600) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2023-04-18 |