NPI | 1316901804 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NX0800X Chiropractor Orthopedic (Licence: DE F10000198) |
Additional Taxonomies | 111NX0800X Chiropractor Orthopedic (Licence: PA DC003015L) |
Enumeration Date | 2006-04-13 |
Last Update Date | 2013-08-08 |