| NPI | 1245270578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 06917) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038010518) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-10-26 |