NPI | 1770735763 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: TX 11413) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 3209) |
111N00000X Chiropractor (Licence: TX 11413) | |
111NN1001X Chiropractor, Nutrition (Licence: MA 3209) | |
111NP0017X Chiropractor, Pediatric Chiropractor (Licence: TX 11413) | |
111NS0005X Chiropractor, Sports Physician (Licence: MA 3209) | |
Enumeration Date | 2008-10-21 |
Last Update Date | 2019-03-29 |