NPI | 1679640304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-565) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: ID ACC-72) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2024-10-27 |