NPI | 1649788977 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104557559) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 013062) |
Enumeration Date | 2018-01-22 |
Last Update Date | 2024-05-22 |