| NPI | 1639921356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038014085) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 6297-12) |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2025-03-24 |