| NPI | 1215169842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VT 006.0073893) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NH 8400409) |
| Enumeration Date | 2009-08-15 |
| Last Update Date | 2016-05-23 |