| NPI | 1558459727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00394800) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X006138-1) |
| 111N00000X Chiropractor (Licence: SC 1388) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-10-19 |