NPI | 1720309768 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: IL 038.011634) |
Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: MO 2010003872) |
Enumeration Date | 2010-06-14 |
Last Update Date | 2010-06-14 |