| NPI | 1033421532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038011455) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: IL 038011455) |
| 111NN1001X Chiropractor, Nutrition (Licence: IL 038011455) | |
| 111NR0200X Chiropractor, Radiology (Licence: IL 038011455) | |
| 111NR0400X Chiropractor, Rehabilitation (Licence: IL 038011455) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: IL 038011455) | |
| 111NX0100X Chiropractor, Occupational Health (Licence: IL 038011455) | |
| 111NX0800X Chiropractor, Orthopedic (Licence: IL 038011455) | |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2014-07-25 |