NPI | 1558823443 |
---|---|
Former Name | SARAH IRENE MARIE VAN DAELE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH12771) |
Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: FL CH12771) |
111NN1001X Chiropractor, Nutrition (Licence: FL CH12771) | |
Enumeration Date | 2019-04-01 |
Last Update Date | 2019-04-01 |