| NPI | 1881102432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 3589) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CT 002067) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-03-17 |