| NPI | 1952606394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MCOO680200) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008749) |
| Enumeration Date | 2011-01-16 |
| Last Update Date | 2017-02-23 |