| NPI | 1356398960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 2230) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104556360) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2013-06-28 |