NPI | 1790446607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: HI DC-1508) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: HI AT-193) |
Enumeration Date | 2022-01-03 |
Last Update Date | 2022-01-31 |