| NPI | 1548378953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-009739) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2000164012) |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2007-08-23 |