| NPI | 1245761436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038013298) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 33692) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2021-03-01 |