| NPI | 1568130771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 013580) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00785400) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2022-10-31 |