NPI | 1629114731 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 2348) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 009261) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2016-02-02 |