| NPI | 1689867459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 2164) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 38-010960) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2011-04-19 |