NPI | 1417096561 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC009169) |
Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: PA DC009169) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2007-07-08 |