| NPI | 1073743720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NE 1637) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038011251) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2016-10-05 |