| NPI | 1043496870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 3078) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: RI DCP00540) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2012-01-30 |