NPI | 1164792289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10423) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 3682) |
111N00000X Chiropractor (Licence: CT 001892) | |
Enumeration Date | 2012-01-05 |
Last Update Date | 2012-01-05 |