| NPI | 1295930238 |
|---|---|
| Former Name | JENNIFER ROBIN TKACHUK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 3794) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038010911) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2012-02-03 |