| NPI | 1114168713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038011361) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 11527) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2011-03-08 |