| NPI | 1750566097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00703600) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH9485) |
| Enumeration Date | 2008-01-06 |
| Last Update Date | 2013-02-12 |