NPI | 1609207109 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S03822) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 012451) |
111N00000X Chiropractor (Licence: DC CH030147) | |
111N00000X Chiropractor (Licence: VA 0104557214) | |
Enumeration Date | 2013-12-09 |
Last Update Date | 2015-09-23 |