| NPI | 1548469265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00638900) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC009607) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2009-01-08 |