| NPI | 1639262017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6412) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-010747) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2009-09-01 |