| NPI | 1588713572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00650100) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC010022) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2011-03-25 |