| NPI | 1578292934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38mc00790400) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: NJ 38mc00790400) |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: NJ 38mc00790400) | |
| 111NR0200X Chiropractor, Radiology (Licence: NJ 38mc00790400) | |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2023-07-03 |