| NPI | 1154376291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WV 895) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-010671) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2024-08-01 |