| NPI | 1598951121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 2526) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 4876) |
| 111N00000X Chiropractor (Licence: WA 2613) | |
| 111N00000X Chiropractor (Licence: PA DC004685L) | |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2010-07-01 |