NPI | 1497055644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4664-012) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.011760) |
Enumeration Date | 2010-10-21 |
Last Update Date | 2011-04-22 |