| NPI | 1700946340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X0039241) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00282800) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2012-02-01 |