| NPI | 1821326265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 001806) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 3252) |
| 111N00000X Chiropractor (Licence: NH 8521105) | |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2016-09-25 |