| NPI | 1508430620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.013781) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH13393) |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2021-09-28 |