NPI | 1407140833 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6759) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 4117) |
Enumeration Date | 2011-06-02 |
Last Update Date | 2012-01-27 |