| NPI | 1700115466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 1905) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: RI DCP00588) |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2013-01-08 |