NPI | 1770576738 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556353) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301008778) |
Enumeration Date | 2005-08-25 |
Last Update Date | 2007-07-08 |