| NPI | 1528733946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00798700) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR010584) |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2023-12-22 |