NPI | 1457332371 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 27 1951) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 5104) |
Enumeration Date | 2005-11-08 |
Last Update Date | 2015-10-26 |