| NPI | 1326671363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00806000) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR010285) |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2024-08-14 |