NPI | 1578818548 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OH DC.4413) |
Additional Taxonomies | 111NX0100X Chiropractor, Occupational Health (Licence: GA CHIR009010) |
Enumeration Date | 2012-07-17 |
Last Update Date | 2014-09-30 |