| NPI | 1619484979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038007407) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 006227) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |