| NPI | 1447547096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X012537-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00693500) |
| Enumeration Date | 2011-07-04 |
| Last Update Date | 2016-03-08 |