| NPI | 1225520158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038013292) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301010684) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2021-10-30 |