| NPI | 1467866871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00730600) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 3941) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2017-02-13 |