NPI | 1962687400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: NY 5229) |
Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: MA 1123) |
111NN0400X Chiropractor, Neurology (Licence: FL 5392) | |
Enumeration Date | 2008-01-03 |
Last Update Date | 2008-01-03 |