NPI | 1396990891 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-311882) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5841) |
111N00000X Chiropractor (Licence: TX 11025) | |
111N00000X Chiropractor (Licence: AZ 8043) | |
Enumeration Date | 2008-11-25 |
Last Update Date | 2024-07-30 |