NPI | 1942518402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 4122) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 4654-012) |
111N00000X Chiropractor (Licence: WI 4654-12) | |
Enumeration Date | 2010-09-18 |
Last Update Date | 2019-03-11 |