| NPI | 1093785388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: MA 264426) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 2913) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2025-09-11 |