| NPI | 1194042218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.011549) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 4671-12) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2013-10-18 |