NPI | 1679093934 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038013084) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.013084) |
Enumeration Date | 2017-06-27 |
Last Update Date | 2018-04-05 |