| NPI | 1588137194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 04099) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00757600) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2021-10-15 |