| NPI | 1003304718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 3610) |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: MA 3610) |
| 111NS0005X Chiropractor, Sports Physician (Licence: MA 3610) | |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |