NPI | 1083830210 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NH 719-0404) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 3038) |
111N00000X Chiropractor (Licence: OH 3490) | |
Enumeration Date | 2007-04-17 |
Last Update Date | 2008-08-29 |