NPI | 1376810614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038012789) |
Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: IL 038012789) |
Enumeration Date | 2011-11-30 |
Last Update Date | 2016-09-01 |