| NPI | 1366548075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 3142) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X010850) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2012-10-30 |