NPI | 1073146429 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 3683) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR010400) |
Enumeration Date | 2020-02-13 |
Last Update Date | 2020-08-20 |