| NPI | 1386732832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ME CR1145) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NH 624-0201) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |