NPI | 1750792040 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S03922) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: DC CH030153) |
111N00000X Chiropractor (Licence: VA 0104557375) | |
Enumeration Date | 2014-05-08 |
Last Update Date | 2018-09-04 |