NPI | 1164804050 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH14557) |
Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: TX 9343) |
111N00000X Chiropractor (Licence: TX 9343) | |
Enumeration Date | 2015-06-26 |
Last Update Date | 2024-07-01 |