| NPI | 1750880274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00730900) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 013034) |
| Enumeration Date | 2018-02-10 |
| Last Update Date | 2018-03-17 |