NPI | 1588786578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2471C3402X Radiologic Technologist, Radiography (Licence: CA RHC 130649) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC 19346) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2025-09-11 |