| NPI | 1699952689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00352400) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: NJ 38MC00352400) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |