| NPI | 1144593039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 3388) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008944) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2021-04-05 |