NPI | 1346689924 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC010703) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 70 012236) |
171100000X Acupuncturist (Licence: PA AK001081) | |
Enumeration Date | 2013-06-18 |
Last Update Date | 2021-01-04 |