| NPI | 1265984777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X012669-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00739200) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2022-06-09 |