| NPI | 1821504622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00752900) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 013029) |
| 111N00000X Chiropractor (Licence: PA AJ011070) | |
| Enumeration Date | 2017-12-17 |
| Last Update Date | 2023-08-07 |