| NPI | 1285872598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038012976) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227001037) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2016-06-09 |