| NPI | 1447940598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA CHI3823) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: MA CHI3823) |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: MA CHI3823) | |
| 111NR0400X Chiropractor, Rehabilitation (Licence: MA CHI3823) | |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2023-05-11 |