NPI | 1275080442 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 5575) |
Additional Taxonomies | 111NX0800X Chiropractor, Orthopedic (Licence: CO CHR.0007484) |
111NX0800X Chiropractor, Orthopedic (Licence: PA DC011181) | |
Enumeration Date | 2016-09-06 |
Last Update Date | 2018-08-06 |