NPI | 1033150362 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 7862) |
Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: AZ 7862) |
111NN1001X Chiropractor, Nutrition (Licence: MO 2006002034) | |
111NX0800X Chiropractor, Orthopedic (Licence: AZ 7862) | |
Enumeration Date | 2006-06-09 |
Last Update Date | 2019-12-23 |