| NPI | 1336132554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL H6649) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ Inactive status) |
| 111N00000X Chiropractor (Licence: AL 1509) | |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2015-09-15 |