| NPI | 1407164353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.011762) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 007265) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |