NPI | 1144650862 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: WA CH60629983) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 32770) |
111N00000X Chiropractor (Licence: OR 5582) | |
Enumeration Date | 2013-11-15 |
Last Update Date | 2016-04-27 |