NPI | 1932146057 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NE 1730) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301009819) |
111N00000X Chiropractor (Licence: TX 13271) | |
Enumeration Date | 2006-05-31 |
Last Update Date | 2017-01-05 |