| NPI | 1639254105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor Nutrition (Licence: NJ 38MC00595600) |
| Additional Taxonomies | 111NX0100X Chiropractor Occupational Health (Licence: NJ 38MC00595600) |
| 111NN0400X Chiropractor Neurology (Licence: NJ 38MC00595600) | |
| 111NX0800X Chiropractor Orthopedic (Licence: NJ 38MC00595600) | |
| 111NP0017X Chiropractor Pediatric Chiropractor (Licence: NJ 38MC00595600) | |
| 111NR0400X Chiropractor Rehabilitation (Licence: NJ 38MC00595600) | |
| 111NS0005X Chiropractor Sports Physician (Licence: NJ 38MC00595600) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2022-12-15 |