| NPI | 1124389861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-012245) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.012245) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2022-07-13 |