| NPI | 1063584233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA MA2006) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CT CT1161) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |