NPI | 1508174822 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR008781) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00684500) |
Enumeration Date | 2010-09-21 |
Last Update Date | 2011-11-01 |