NPI | 1538545603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 0008062) |
Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: CO 0008062) |
Enumeration Date | 2015-07-30 |
Last Update Date | 2020-07-27 |