NPI | 1851539118 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: VA 0104556504) |
Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: MD s03521) |
Enumeration Date | 2009-01-25 |
Last Update Date | 2012-03-29 |