| NPI | 1871785147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 001719) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: RI DCP00519) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2024-03-25 |