| NPI | 1184894594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8104) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.011011) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2010-06-18 |