| NPI | 1518378421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 012535) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00756600) |
| 111N00000X Chiropractor (Licence: MN 5939) | |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2021-10-24 |