| NPI | 1578831558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.011862) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08002561A) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2020-12-03 |