NPI | 1063997088 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8377) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 5335) |
Enumeration Date | 2018-09-25 |
Last Update Date | 2019-02-06 |