| NPI | 1720867070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 04240) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: NJ 38MC00774300) |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2025-01-30 |