| NPI | 1285740126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 1214) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 6623) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2011-09-08 |