NPI | 1508262502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 5138) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR009414) |
Enumeration Date | 2014-11-18 |
Last Update Date | 2021-12-30 |