| NPI | 1366405862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X0057601) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ME CR1527) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2017-06-05 |