| NPI | 1508810441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 009468) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00644900) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2018-03-17 |