| NPI | 1427263128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038012078) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: CA DC29258) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2011-11-22 |