| NPI | 1689794141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038010991) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 06241) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2014-10-07 |