| NPI | 1356307532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038007644) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 3239012) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-10-31 |