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 |