NPI | 1346207735 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: IL 038003379) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038003379) |
171100000X Acupuncturist (Licence: IL 198000134) | |
Enumeration Date | 2006-04-28 |
Last Update Date | 2013-07-02 |