NPI | 1417338757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 1838) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 12894) |
Enumeration Date | 2015-06-12 |
Last Update Date | 2018-08-14 |