| NPI | 1558767681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 9010) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00721500) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2024-02-29 |