NPI | 1073050472 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: OR 5794) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 5794) |
Enumeration Date | 2017-01-23 |
Last Update Date | 2018-07-24 |