| NPI | 1396868378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00615300) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X010501) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2011-09-15 |