NPI | 1982237327 |
---|---|
Former Name | VICTORIA SIMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 34763) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CA BOC314534) |
Enumeration Date | 2020-02-13 |
Last Update Date | 2021-09-02 |