| NPI | 1487961355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038011765) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 038011765) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2012-04-09 |