| NPI | 1578623989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: NJ 38MC00520800) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: NJ 38MC00520800) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-08 |