| NPI | 1326343492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2011037866) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.011834) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2015-09-17 |