| NPI | 1275699795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA00541) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: MA 2909) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2012-04-17 |