| NPI | 1174692362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556828) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038010776) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2014-03-19 |