| NPI | 1558721209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: NJ 38MC00569500) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: NJ 38MC00569500) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2016-02-23 |