NPI | 1548297682 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: AR 1761) |
Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: NJ 38MC00163500) |
111NI0013X Chiropractor, Independent Medical Examiner (Licence: AR 1761) | |
Enumeration Date | 2006-06-26 |
Last Update Date | 2008-07-04 |