| NPI | 1144419623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-010362) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 8071) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2008-01-21 |