NPI | 1669627717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 3978) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC010000) |
225100000X Physical Therapist (Licence: PA AJ009813) | |
Enumeration Date | 2008-11-17 |
Last Update Date | 2023-06-14 |