NPI | 1639113426 |
---|---|
Former Name | CHRISTINE HELENE POULLAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 006662) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 2147) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2014-02-17 |