NPI | 1588659635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 074340) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A074340) |
Enumeration Date | 2005-09-14 |
Last Update Date | 2024-07-25 |