NPI | 1922600428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 2719) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL 13293) |
Enumeration Date | 2020-11-10 |
Last Update Date | 2022-03-31 |