| NPI | 1366821704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 3499) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NH 968) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |