NPI | 1962110049 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: TX 15576) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC36304) |
Enumeration Date | 2022-11-08 |
Last Update Date | 2023-08-23 |