| NPI | 1952653602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00703700) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC010637) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2015-04-15 |