| NPI | 1194038273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2010018712) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.011698) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-19 |