| NPI | 1639506355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.012494) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AR 16430) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2026-03-09 |