| NPI | 1649493255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 4119) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ MC04026) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2022-09-30 |