| NPI | 1538233176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.008605) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301007900) |
| 111N00000X Chiropractor (Licence: VA 0104556711) | |
| 224L00000X Pedorthist (Licence: IL 212.000204) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2022-12-02 |