NPI | 1497217186 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NH 1118) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 3728) |
111N00000X Chiropractor (Licence: IL 038013349) | |
Enumeration Date | 2019-04-02 |
Last Update Date | 2022-06-30 |