| NPI | 1669905238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0200X Chiropractor Radiology (Licence: IA 007473) |
| Additional Taxonomies | 111NR0200X Chiropractor Radiology (Licence: IL 038.012224) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |