NPI | 1699157248 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13888) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019014543) |
111NR0400X Chiropractor, Rehabilitation (Licence: VA 0104557354) | |
225700000X Massage Therapist (Licence: SC 9041) | |
Enumeration Date | 2015-06-19 |
Last Update Date | 2018-12-19 |