| NPI | 1255192886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 013869) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00802200) |
| 111N00000X Chiropractor (Licence: CA DC37149) | |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2026-01-14 |