| NPI | 1477924512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.012848) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 38.012848) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2022-07-14 |