| NPI | 1588978522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007335) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038011896) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2014-09-30 |