| NPI | 1235356650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 2745) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC-24941) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-10-03 |