NPI | 1942584222 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: VA 0104557438) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038012248) |
111N00000X Chiropractor (Licence: VA 0104557438) | |
Enumeration Date | 2011-10-05 |
Last Update Date | 2025-02-24 |