| NPI | 1649227067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-010376) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2013004583) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2015-01-21 |