| NPI | 1295248177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00756800) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 089505) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2023-05-02 |