| NPI | 1669085023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: RI DCP00678) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: RI DCP000678) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |