| NPI | 1326170622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NH 7840307) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 2032) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2012-04-17 |