| NPI | 1639109804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00361300) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC003569L) |
| 111N00000X Chiropractor (Licence: VT 060000805) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-07-08 |