| NPI | 1932110822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VT 006-0001146) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X010649) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2008-09-25 |