NPI | 1114111085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 1976) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 2068) |
Enumeration Date | 2007-09-04 |
Last Update Date | 2007-09-04 |