| NPI | 1225643877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 3703) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: RI 3703) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |