NPI | 1336364272 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038006068) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC003597L) |
Enumeration Date | 2007-04-16 |
Last Update Date | 2007-07-08 |