| NPI | 1790844850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ME CR779) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 005842) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2013-09-13 |