| NPI | 1447387162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 1740) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 1898) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2022-12-08 |