| NPI | 1306137807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00714800) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 3325) |
| 111N00000X Chiropractor (Licence: NY 012324) | |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2019-10-21 |