NPI | 1811254758 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2011019831) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 0000002469) |
Enumeration Date | 2012-04-17 |
Last Update Date | 2012-04-17 |