| NPI | 1457503518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor Internist (Licence: IL 038.011241) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.011241) |
| 111NI0013X Chiropractor Independent Medical Examiner (Licence: IL 038.011241) | |
| 111NP0017X Chiropractor Pediatric Chiropractor (Licence: IL 038.011241) | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |