| 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 |