NPI | 1336510023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S03850) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104557260) |
Enumeration Date | 2015-10-07 |
Last Update Date | 2022-04-12 |