NPI | 1245369917 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 1103) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 2170) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2023-08-31 |