NPI | 1063916229 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 010112) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 3601) |
Enumeration Date | 2018-03-22 |
Last Update Date | 2019-01-23 |