| NPI | 1093896532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 1396) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ME ME252767) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |