| NPI | 1245546076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038011590) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 27700113) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2021-03-26 |