| NPI | 1518295864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: RI 433) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 1749) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2009-11-25 |