| NPI | 1265833412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00719900) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 012310) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2025-12-10 |