| NPI | 1700647591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00815300) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR011133) |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2026-08-14 |