| NPI | 1225058704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 06658) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-010052) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-10-03 |