| NPI | 1336206796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA CHI1173) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 1173) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2024-10-25 |