| NPI | 1154009991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA CHI5249) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 15675) |
| 111N00000X Chiropractor (Licence: NH 1620) | |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2026-07-10 |