| NPI | 1194074955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.012192) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR.0007089) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2016-10-08 |