| NPI | 1174661607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: RI DCP00554) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 011352) |
| 111N00000X Chiropractor (Licence: MA 3151) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-06-18 |