NPI | 1982367868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 14688) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC011688) |
Enumeration Date | 2021-10-18 |
Last Update Date | 2025-06-16 |