NPI | 1437892478 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: CA 36268) |
Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: CA 36268) |
Enumeration Date | 2022-04-18 |
Last Update Date | 2022-04-20 |