NPI | 1134211980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S02144) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD S02144) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2020-09-10 |