| NPI | 1508174822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR008781) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00684500) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2011-11-01 |