NPI | 1871879767 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 4706) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038012050) |
111N00000X Chiropractor (Licence: MN 5889) | |
Enumeration Date | 2011-10-24 |
Last Update Date | 2016-11-21 |