| NPI | 1073146429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 3683) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR010400) |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-08-20 |