| NPI | 1023015112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 06737) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-009353) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2007-07-08 |