NPI | 1588193809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 0000003070) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 8629) |
Enumeration Date | 2017-06-09 |
Last Update Date | 2021-06-18 |