| NPI | 1285757542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007007) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 38010925) |
| 111N00000X Chiropractor (Licence: AZ 8036) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2022-07-21 |