| NPI | 1154642361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIRO08782) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-011692) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2011-03-10 |