| NPI | 1730320037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ME CR1883) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NH 1065) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2024-04-01 |