| NPI | 1326119512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.011502) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 006796) |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2019-02-27 |