NPI | 1184972820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: TN 3598) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 32405) |
Enumeration Date | 2012-08-28 |
Last Update Date | 2023-02-21 |