| NPI | 1891129383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00710600) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X012387-1) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2020-02-11 |