NPI | 1942507702 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038011853) |
Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: IL 038011853) |
Enumeration Date | 2011-02-14 |
Last Update Date | 2013-04-30 |