NPI | 1235258815 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00033862) |
Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: WA CH00033862) |
111NR0200X Chiropractor, Radiology (Licence: WA CH00033862) | |
111NT0100X Chiropractor, Thermography (Licence: WA CH00033862) | |
Enumeration Date | 2007-03-28 |
Last Update Date | 2010-05-19 |