NPI | 1215064746 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111NN0400X Chiropractor Neurology (Licence: MD D0045015) |
Additional Taxonomies | 111NN0400X Chiropractor Neurology (Licence: DC MD30628) |
111NN0400X Chiropractor Neurology (Licence: VA 0101050705) | |
Enumeration Date | 2007-02-28 |
Last Update Date | 2007-07-08 |