| NPI | 1831792027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 3722) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CT 002159) |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2021-06-08 |