| NPI | 1346765450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: RI DCP00654) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 04813) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2021-04-28 |