| NPI | 1225442502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.012628) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IL 038012628) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2023-08-21 |