NPI | 1265683924 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 11636) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC30759) |
171100000X Acupuncturist (Licence: CA AC12500) | |
Enumeration Date | 2008-09-30 |
Last Update Date | 2020-10-29 |