NPI | 1851717839 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: CO 0007110) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 0007110) |
Enumeration Date | 2014-03-13 |
Last Update Date | 2022-11-10 |