NPI | 1194766642 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: CO 4516) |
Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: CO 4516) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2015-06-23 |