| NPI | 1497978159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00223500) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X0029731) |
| 163W00000X Registered Nurse (Licence: NJ 68290) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2010-07-09 |