NPI | 1487735189 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: DE F10000671) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00659100) |
111N00000X Chiropractor (Licence: PA AJ009601) | |
Enumeration Date | 2006-10-18 |
Last Update Date | 2008-05-16 |