| NPI | 1487046538 |
|---|---|
| Former Name | SARAH ELIZABETH RUSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.012764) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227012641) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2020-10-06 |