NPI | 1912320409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 012546) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00714900) |
Enumeration Date | 2014-02-04 |
Last Update Date | 2017-10-04 |