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 |