| NPI | 1598215717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 8303) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00582700) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2021-10-13 |