NPI | 1548477391 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 8666) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 2194) |
111N00000X Chiropractor (Licence: MO 275594) | |
Enumeration Date | 2007-05-17 |
Last Update Date | 2019-07-25 |