| NPI | 1710077979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38mc00193600) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25mz00019400) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2014-08-14 |