| NPI | 1083922033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CFC22) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-011577) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2021-04-05 |