| NPI | 1205097284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 3334) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MA 246361) |
| Enumeration Date | 2008-06-22 |
| Last Update Date | 2012-02-01 |