| NPI | 1083064232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038013539) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 33400) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2021-09-29 |