| NPI | 1861725715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: MA 935) |
| Additional Taxonomies | 171100000X Acupuncturist |
| 111NS0005X Chiropractor, Sports Physician (Licence: MA 935) | |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2012-08-08 |