NPI | 1891934071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CO 6369) |
Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: WI 2615-012) |
111NS0005X Chiropractor, Sports Physician (Licence: MT 1173) | |
Enumeration Date | 2009-02-12 |
Last Update Date | 2011-03-19 |