| NPI | 1659901296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 15354) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.013512) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2023-05-19 |