| NPI | 1760571541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ MC4916) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X007165) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2009-01-26 |