| NPI | 1902059850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NH 7370105) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 3154) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2009-12-24 |