| NPI | 1467701193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: NJ 38mc00546500) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: NY x010149-1) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-10 |