| NPI | 1467119446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00749000) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC011674) |
| 111N00000X Chiropractor (Licence: NY X012989-1) | |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2022-09-09 |