NPI | 1598951121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 2526) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 4876) |
111N00000X Chiropractor (Licence: WA 2613) | |
111N00000X Chiropractor (Licence: PA DC004685L) | |
Enumeration Date | 2007-09-18 |
Last Update Date | 2010-07-01 |