| NPI | 1558457747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NE 1426) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-010774) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-04-28 |