| NPI | 1548344070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2006028734) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.010887) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-05-29 |