| NPI | 1669757332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172P00000X Naprapath (Licence: IL 181000404) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: IL 020009052) |
| 225700000X Massage Therapist (Licence: IL 227010183) | |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2020-12-01 |