| NPI | 1245876663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-06029) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.013473) |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2020-10-21 |