| NPI | 1699062661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.011937) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 3641) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |