| NPI | 1770994543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00714500) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH DC4447) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2019-03-25 |