NPI | 1629350327 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6737) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: WA 60620605) |
Enumeration Date | 2011-09-19 |
Last Update Date | 2021-02-24 |