NPI | 1538131057 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 2341) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: MA L-309679) |
Enumeration Date | 2006-02-07 |
Last Update Date | 2023-02-08 |