| NPI | 1083830210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NH 719-0404) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 3038) |
| 111N00000X Chiropractor (Licence: OH 3490) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-08-29 |