| NPI | 1407820327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038008242) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 3923012) |
| 111N00000X Chiropractor (Licence: IL 202978845) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2012-04-16 |