NPI | 1497995914 |
---|---|
Former Name | CHRISTINA ANN LOPEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10960) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104557172) |
Enumeration Date | 2009-02-23 |
Last Update Date | 2019-01-02 |