| NPI | 1043396195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 259) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA CH259) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2009-08-20 |