| NPI | 1528409745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: NJ 38mc00710200) |
| Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: CT 001939) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2014-10-10 |