NPI | 1003235854 |
---|---|
Former Name | THERESA TORRES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3905) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: SC DC3905) |
Enumeration Date | 2014-04-09 |
Last Update Date | 2018-04-26 |