| NPI | 1780658609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 06765) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00617000) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2016-05-04 |