NPI | 1053725259 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 075603) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038012614) |
Enumeration Date | 2014-06-16 |
Last Update Date | 2015-03-06 |