| NPI | 1194031310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-15744) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038008136) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2017-02-27 |