NPI | 1003137977 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 4025) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC010260) |
111N00000X Chiropractor (Licence: PA AJ010061) | |
Enumeration Date | 2010-06-15 |
Last Update Date | 2010-06-15 |