NPI | 1164618468 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.011508) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-05118) |
Enumeration Date | 2007-09-20 |
Last Update Date | 2009-10-20 |