| NPI | 1225466535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2013023103) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038012392) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |