NPI | 1598834970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: IL 038-010210) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-010210) |
111NR0400X Chiropractor, Rehabilitation (Licence: IL 038-010-210) | |
Enumeration Date | 2006-11-07 |
Last Update Date | 2025-09-11 |