| NPI | 1801953062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN0400X Chiropractor Neurology (Licence: MA 524) |
| Additional Taxonomies | 111NX0800X Chiropractor Orthopedic (Licence: MA 524) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2010-11-24 |