| NPI | 1366461519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 2827) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 5600) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |