| NPI | 1417031964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038007921) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 4325) |
| 111N00000X Chiropractor (Licence: AZ 5545) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |