| NPI | 1306986047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 1732) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NH 0950492A) |
| 111N00000X Chiropractor (Licence: ME CR877) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |