NPI | 1891021515 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038011454) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 8086) |
111N00000X Chiropractor (Licence: TX 11652) | |
Enumeration Date | 2009-10-30 |
Last Update Date | 2017-10-24 |