NPI | 1417055898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3250) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: HI 1037) |
111N00000X Chiropractor (Licence: TX 6828) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2007-07-08 |