NPI | 1649276858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8815) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: ND 998) |
111N00000X Chiropractor (Licence: MN 3866) | |
Enumeration Date | 2005-06-22 |
Last Update Date | 2024-10-15 |