NPI | 1992709505 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 06628) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-007740) |
Enumeration Date | 2005-06-10 |
Last Update Date | 2022-07-21 |