| NPI | 1043272412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 2819) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA 009360) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2014-02-11 |