| NPI | 1790490738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: RI DCP00725) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA CHI3816) |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2025-01-10 |