| NPI | 1326315888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: MO 2011037864) |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: IL 038012061) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2016-12-02 |