| NPI | 1700404027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00777600) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 013379) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2021-03-16 |