| NPI | 1578865499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038011818) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 70011940) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2019-08-27 |