| NPI | 1700266186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 012949) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.012792) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2019-04-23 |