NPI | 1124801394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MT CHI-CHI-LIC-8734) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 6955) |
Enumeration Date | 2023-08-14 |
Last Update Date | 2024-05-17 |