| NPI | 1053725259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 075603) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038012614) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2015-03-06 |