| NPI | 1609076918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X004002) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00284700) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2016-09-19 |