| NPI | 1609205848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038012381) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC010712) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-08 |