| NPI | 1770815516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 012089) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00688700) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2016-06-28 |