| NPI | 1942462361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00747900) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 011618) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2018-10-05 |