| NPI | 1609008135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038012144) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 10678) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2013-05-01 |