NPI | 1023201985 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 6315) |
Additional Taxonomies | 111NR0200X Chiropractor, Radiology (Licence: TX 242) |
Enumeration Date | 2007-08-23 |
Last Update Date | 2007-08-23 |