| NPI | 1871862995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 012065) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00696700) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2023-12-04 |