NPI | 1316143654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9349321) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH9344) |
Enumeration Date | 2007-06-25 |
Last Update Date | 2024-03-06 |