| NPI | 1972835650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: RI DCP00604) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA dc010368) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2016-03-09 |