NPI | 1689606279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: IL 038-003987) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: IL 164.006123) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2014-06-30 |