| NPI | 1922151067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NH 147-1093) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VT 953) |
| 111N00000X Chiropractor (Licence: AZ 5913) | |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2008-06-16 |