| NPI | 1053422410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038010403) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH9138) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |