NPI | 1689145559 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038013290) |
Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: IL 038.013290) |
Enumeration Date | 2018-12-17 |
Last Update Date | 2020-01-28 |