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 |