NPI | 1194071696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 920) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5676) |
Enumeration Date | 2012-08-02 |
Last Update Date | 2015-02-23 |