| NPI | 1912265778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 3428) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 32283) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2013-09-13 |