| NPI | 1164618468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.011508) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-05118) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2009-10-20 |