| NPI | 1588752182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: MA 3342) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00588000) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2016-05-05 |