| NPI | 1669406401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038008941) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 3424012) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |