| NPI | 1629521166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: RI DC00446) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 3559) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2020-05-12 |