| NPI | 1619337813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.013145) |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: NE 1878) |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2023-03-16 |