| NPI | 1831106921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 001868) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 2506) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2017-12-12 |