NPI | 1013136993 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 001583) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X010909) |
Enumeration Date | 2007-04-25 |
Last Update Date | 2012-12-07 |