| NPI | 1023250735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007190) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038011381) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2020-05-04 |