| NPI | 1619195450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-008294) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038008294) |
| 111NN1001X Chiropractor Nutrition (Licence: IL 038-008294) | |
| 111NP0017X Chiropractor Pediatric Chiropractor (Licence: IL 038-008294) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2025-08-31 |