| NPI | 1265401244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 004985) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038005057) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2014-03-19 |