NPI | 1386713733 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00650700) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00074600) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2010-04-06 |