| NPI | 1699027326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 1882) |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: CT 1882) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2013-09-04 |