| NPI | 1720439771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 3531) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 13206) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-09-12 |