| NPI | 1679872717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038011587) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IL 198001004) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2013-09-23 |