| NPI | 1639229933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: RI DCP00547) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 3087) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2014-09-09 |