| NPI | 1659877157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038013333) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 091278) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2019-08-08 |