| NPI | 1821188129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NH 007-1289) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VT 006-0000828) |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2007-07-08 |