| NPI | 1518366376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00711200) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: NJ 38MC00711200) |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: NJ 38MC00711200) | |
| 111NR0400X Chiropractor, Rehabilitation (Licence: NY X013232) | |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2024-04-25 |