| NPI | 1982765988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3369) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 04249) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-12-26 |