| NPI | 1679159750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 15282) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.013693) |
| Enumeration Date | 2021-03-20 |
| Last Update Date | 2024-08-08 |