| NPI | 1669642500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007111) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038011137) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2022-01-21 |