NPI | 1629460076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: CA 33165) |
Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: CA 33165) |
Enumeration Date | 2015-02-23 |
Last Update Date | 2015-02-23 |