| NPI | 1801024591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 5228) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00672900) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2019-10-24 |