NPI | 1366564254 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL ch12983) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 6091) |
111N00000X Chiropractor (Licence: NY 9087) | |
Enumeration Date | 2007-04-04 |
Last Update Date | 2024-04-13 |