| NPI | 1124236989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-008238) |
| Additional Taxonomies | 111NR0400X (Licence: IL 038-008238) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |