NPI | 1518935741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 010336) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: VT 0060001159) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2007-07-08 |