| NPI | 1154660173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.012305) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: VT 099.0090563) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-11-04 |