| NPI | 1053647560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6491) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.011504) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2021-11-10 |