NPI | 1053462077 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 2699) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NH 6930703) |
111N00000X Chiropractor (Licence: VT 0060001117) | |
Enumeration Date | 2007-01-16 |
Last Update Date | 2007-07-08 |