| NPI | 1639256118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-006108) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA A05384) |
| 111NR0200X Chiropractor, Radiology (Licence: IL 9214347) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-02-05 |