| NPI | 1598899916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00295500) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC003016L) |
| 111N00000X Chiropractor (Licence: NY X4282) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-09 |