| NPI | 1003685132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: IL 038.014094) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.014094) |
| Enumeration Date | 2023-12-29 |
| Last Update Date | 2024-01-02 |