| NPI | 1508933540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 3449) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 38009990) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |