| NPI | 1497320733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00776700) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X012772) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2021-05-20 |