NPI | 1689727620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: FL CH9771) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR006324) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2021-08-11 |