NPI | 1407109689 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: DE F1-0000887) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 12380) |
Enumeration Date | 2012-10-24 |
Last Update Date | 2015-01-07 |