| NPI | 1033258553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NR0400X (Licence: ME cr820) |
| Additional Taxonomies | 111NX0100X Chiropractor, Occupational Health (Licence: ME cr820) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |